24 results
Differential diagnosis of Langerhans cell histiocytosis.
Nodular LCH:
- Sarcoidosis: perilymphatic distribution.
- Metastases: random distribution.
Cystic LCH:
- LAM: round
Cystic LCH: - LAM ... Centrilobular emphysema ... Clinical #Diagnosis #Radiology ... #CTChest #Cystic ... Comparison #Table #RadiologyAssistant
Low Attenuation pattern 
1. Lymphangiomyomatosis (LAM): uniform cysts in woman of child-bearing age; no history of
LCH: multiple round ... Centrilobular emphysema ... #Clinical #Radiology ... #HRCT #CTChest ... Comparison #Table #RadiologyAssistant
Low Attenuation pattern (2) 
1. Centrilobular emphysema: low attenuation areas without walls. Notice the centrilobular artery
Centrilobular emphysema ... histiocytosis (LCH ... #Clinical #Radiology ... #HRCT #CTChest ... Comparison #Table #RadiologyAssistant
The fourth pattern includes abnormalities that result in decreased lung attenuation or air-filled lesions.
These include:
- Emphysema
-
These include: - Emphysema ... - Lung cysts (LAM ... #Diagnosis #Radiology ... #Pulmonary #CTChest ... #RadiologyAssistant
Emphysema, when it is severe, can mimick Langerhans cell histiosytosis.
When it extends beyond the centrilobular area
look as if it is cystic ... patients with LCH ... #Clinical #Radiology ... #CTChest #Emphysema ... #RadiologyAssistant
Cavities frequently arise within a mass or an area of consolidation as a result of necrosis.
We
associated pulmonary emphysema ... Clinical #Diagnosis #Radiology ... #CTChest #Cavity ... #Cyst #Emphysema ... #Comparison #RadiologyAssistant
High-Res Chest CT Patterns - Differential Diagnosis Framework
Reticular:
 • Septal Thickening: Lymphangitic Carcinoma, Interstitial Edema, Alveolar
Edema, Hemorrhage, Pneumonia ... Hypersensitivity Pneumonia ... Attenuation: • Emphysema ... Antitripsyn Def • Cysts ... Diagnosis #pulmonary #radiology
On the left a chest film of a 19 year old patient with Langerhans cell histiocytosis.
The
caused by multiple cysts ... #Clinical #Radiology ... LCH #LangerhansCellHistiocytosis ... Histiocytosis #Cystic ... #RadiologyAssistant
On the left another case of Langerhans' cell histiocytosis.
It started as small noduli, which progressed over
bizarre shaped cysts ... #Clinical #Radiology ... #CTChest #LCH # ... Histiocytosis #Cystic ... #RadiologyAssistant
Cystic versus Reticular
It can be difficult to determine whether we are dealing with a reticular pattern
histiocytosis (LCH ... LCH is called a ... #Clinical #Radiology ... #CXR #CTChest # ... #RadiologyAssistant